VIVA RAE BLACK Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227001628

License Status

INACTIVE

Business

First Name

VIVA

Middle

RAE

Last Name

BLACK

Business Name

VIVA RAE BLACK

Original Issue Date

01/06/2005

Effective Date

01/01/2007

Expiration Date

12/31/2008

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

10/02/2008